Efecto de un programa de educación para profesionales sanitarios en la detección y manejo del gatillaje reverso: Análisis secundario de un estudio cuasiexperimental.

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Bibliographic Details
Title:	Efecto de un programa de educación para profesionales sanitarios en la detección y manejo del gatillaje reverso: Análisis secundario de un estudio cuasiexperimental.
Alternate Title:	Effect of an education program for healthcare professionals focused on the detection and management of reverse triggering: Secondary analysis of a quasi-experimental study.
Authors:	Ramírez Venegas, Iván^1,2,3, Gutierrez-Arias, Ruvistay^1,2,4 rgutierrez@torax.cl
Source:	Colombian Journal of Anesthesiology / Revista Colombiana de Anestesiología. Jan-Mar2026, Vol. 54 Issue 1, p1-8. 8p.
Subjects:	EDUCATIONAL programs, PATIENT-ventilator dyssynchrony, CRITICAL care medicine, MEDICAL personnel, PRE-tests & post-tests
Abstract (English):	Introduction: Reverse triggering (RT) is a frequent type of patient-ventilator asynchrony (PVA). Despite the potential complications associated with this type of asynchrony, there is a scarcity of literature regarding the effects of training programs aimed at developing the necessary competencies among healthcare professionals to help them identify and resolve this type of PVA. Objective: To assess the effect on Chilean intensive care professionals of an education program specifically focusing on RT detection and management using ventilation graph analysis, both immediately as well as after 30 days. Methods: A secondary analysis based on the data used in a quasi-experimental study was conducted. The study applied an education program to improve detection and management of various types of PVA by healthcare staff working in critical care, using ventilation graph analysis. Assessments were conducted before (T0), immediately after (T1) a six-hour online session, and 30 days later (T2). Information from the questions designed to identify the ability to recognize and resolve RT was extracted. Results: In total, 49 healthcare professionals were included, 94% of them physical therapists, with a mean experience of three years (IQR 0.9 to 4). At T0, 20% answered the three questions correctly, with a significant increase at T1 (73.47%) and at T2 (69.39%) (p < 0.001). Conclusions: In Chile, attending a specific education program focused on PVA recognition and resolution could result in an improved ability among critical care staff to identify and resolve RT based on ventilation graph analysis. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: El gatillaje reverso (GR) es un tipo frecuente de asincronía paciente-ventilador (APV). A pesar de las potenciales complicaciones asociadas a este tipo de asincronía, en la actualidad existen escasos reportes sobre los efectos de programas de formación que permitan a los profesionales de la salud adquirir las competencias necesarias para identificar y resolver este tipo de APV. Objetivo: Evaluar el efecto en profesionales chilenos de cuidados intensivos de un programa específico de educación en la detección y manejo inmediato y al mes de seguimiento del GR mediante el análisis de la gráfica ventilatoria. Métodos: Se hizo un análisis secundario a partir de los datos utilizados en un estudio cuasiexperimental. En dicho estudio se aplicó un programa de educación para mejorar la detección y manejo de diferentes APV de profesionales de la salud de cuidados críticos mediante el análisis de la gráfica ventilatoria. Se aplicó una herramienta de evaluación antes (T0) y después (T1) de una sesión en línea de seis horas, y 30 días después (T2). Se extrajo la información de las preguntas destinadas a conocer la habilidad para reconocer y resolver el GR. Resultados: Se incluyeron 49 profesionales, 94 % fisioterapeutas, con una mediana de experiencia de tres años (RIC 0,9 a 4). Un 20 % respondió correctamente las tres preguntas en el momento T0, lo que aumentó de manera significativa en el T1 (73,47 %) y el T2 (69,39 %) (p < 0,001). Conclusiones: Participar en un programa de educación específico sobre el reconocimiento y resolución de APV podría contribuir a que profesionales chilenos de cuidado crítico mejoren su habilidad para identificar y resolver el GR mediante el análisis de la gráfica ventilatoria. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: Reverse triggering (RT) is a frequent type of patient-ventilator asynchrony (PVA). Despite the potential complications associated with this type of asynchrony, there is a scarcity of literature regarding the effects of training programs aimed at developing the necessary competencies among healthcare professionals to help them identify and resolve this type of PVA. Objective: To assess the effect on Chilean intensive care professionals of an education program specifically focusing on RT detection and management using ventilation graph analysis, both immediately as well as after 30 days. Methods: A secondary analysis based on the data used in a quasi-experimental study was conducted. The study applied an education program to improve detection and management of various types of PVA by healthcare staff working in critical care, using ventilation graph analysis. Assessments were conducted before (T0), immediately after (T1) a six-hour online session, and 30 days later (T2). Information from the questions designed to identify the ability to recognize and resolve RT was extracted. Results: In total, 49 healthcare professionals were included, 94% of them physical therapists, with a mean experience of three years (IQR 0.9 to 4). At T0, 20% answered the three questions correctly, with a significant increase at T1 (73.47%) and at T2 (69.39%) (p < 0.001). Conclusions: In Chile, attending a specific education program focused on PVA recognition and resolution could result in an improved ability among critical care staff to identify and resolve RT based on ventilation graph analysis. [ABSTRACT FROM AUTHOR]
ISSN:	01203347
DOI:	10.5554/22562087.e1168